CN102089017B - See-through, reduced-pressure dressings and systems - Google Patents

See-through, reduced-pressure dressings and systems Download PDF

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Publication number
CN102089017B
CN102089017B CN200980119621.9A CN200980119621A CN102089017B CN 102089017 B CN102089017 B CN 102089017B CN 200980119621 A CN200980119621 A CN 200980119621A CN 102089017 B CN102089017 B CN 102089017B
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China
Prior art keywords
bolster
dressing
transparent
wound
patient
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Active
Application number
CN200980119621.9A
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Chinese (zh)
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CN102089017A (en
Inventor
埃里克·伍德森·巴塔
贾斯汀·亚历山大·龙恩
小理查德·马文·卡扎拉
马修·弗朗西斯·卡瓦诺二世
迈克尔·理查德·吉鲁阿尔
肯尼思·米切尔·诺尔斯
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Shuwanuo Intellectual Property Co
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Kathy Chartered Ltd
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/00051Accessories for dressings
    • A61F13/00059Accessories for dressings provided with visual effects, e.g. printed or colored
    • A61F13/01017
    • A61F13/01029
    • A61F13/01034
    • A61F13/01038
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/02Adhesive plasters or dressings
    • A61F13/0203Adhesive plasters or dressings having a fluid handling member
    • A61F13/0206Adhesive plasters or dressings having a fluid handling member the fluid handling member being absorbent fibrous layer, e.g. woven or nonwoven absorbent pad, island dressings
    • A61F13/0209Adhesive plasters or dressings having a fluid handling member the fluid handling member being absorbent fibrous layer, e.g. woven or nonwoven absorbent pad, island dressings comprising superabsorbent material
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/02Adhesive plasters or dressings
    • A61F13/0203Adhesive plasters or dressings having a fluid handling member
    • A61F13/022Adhesive plasters or dressings having a fluid handling member having more than one layer with different fluid handling characteristics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/02Adhesive plasters or dressings
    • A61F13/0203Adhesive plasters or dressings having a fluid handling member
    • A61F13/0223Adhesive plasters or dressings having a fluid handling member characterized by parametric properties of the fluid handling layer, e.g. absorbency, wicking capacity, liquid distribution
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    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/02Adhesive plasters or dressings
    • A61F13/023Adhesive plasters or dressings wound covering film layers without a fluid handling layer
    • A61F13/0243Adhesive plasters or dressings wound covering film layers without a fluid handling layer characterised by the properties of the skin contacting layer, e.g. air-vapor permeability
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    • AHUMAN NECESSITIES
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    • A61H1/00Apparatus for passive exercising; Vibrating apparatus ; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
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    • AHUMAN NECESSITIES
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    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L15/00Chemical aspects of, or use of materials for, bandages, dressings or absorbent pads
    • A61L15/16Bandages, dressings or absorbent pads for physiological fluids such as urine or blood, e.g. sanitary towels, tampons
    • A61L15/42Use of materials characterised by their function or physical properties
    • A61L15/60Liquid-swellable gel-forming materials, e.g. super-absorbents
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    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71Suction drainage systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/90Negative pressure wound therapy devices, i.e. devices for applying suction to a wound to promote healing, e.g. including a vacuum dressing
    • A61M1/91Suction aspects of the dressing
    • A61M1/915Constructional details of the pressure distribution manifold
    • AHUMAN NECESSITIES
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    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/90Negative pressure wound therapy devices, i.e. devices for applying suction to a wound to promote healing, e.g. including a vacuum dressing
    • A61M1/91Suction aspects of the dressing
    • A61M1/917Suction aspects of the dressing specially adapted for covering whole body parts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F2013/00089Wound bandages
    • A61F2013/00119Wound bandages elastic
    • A61F2013/00131Wound bandages elastic elasticity distribution
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F2013/00089Wound bandages
    • A61F2013/00119Wound bandages elastic
    • A61F2013/00131Wound bandages elastic elasticity distribution
    • A61F2013/00136Wound bandages elastic elasticity distribution anisotropy
    • AHUMAN NECESSITIES
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    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F2013/00089Wound bandages
    • A61F2013/0017Wound bandages possibility of applying fluid
    • A61F2013/00174Wound bandages possibility of applying fluid possibility of applying pressure
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Abstract

A see-through dressing assembly is presented for use with a reduced-pressure system for treating a wound on a patient using reduced pressure that allows visual observation of the wound during treatment. The dressing assembly includes a bolster (46) for providing a directed force when under reduced pressure, a sealing member (72) for covering the bolster and providing a seal over the bolster and a patient's epidermis, and wherein the bolster and sealing member are formed from see-through materials sufficient to allow perception of color from a point external to the system. Other systems, dressings, and methods are presented.

Description

See-through, reduced-pressure dressings and system
Related application
According to 35U.S.C. § 119 (e), the present invention requires the rights and interests of following application: the U.S. Provisional Patent Application serial number 61/057,807 submitted on May 30th, 2008, be entitled as " Reduced-PressureSurgical Wound Treatment System "; The U.S. Provisional Patent Application serial number 61/057,798 submitted on May 30th, 2008, be entitled as " Dressing Assembly For Subcutaneous WoundTreatment Using Reduce Pressure "; The U.S. Provisional Patent Application serial number 61/057,808 submitted on May 30th, 2008, be entitled as " See-Through, Reduced-Pressure Dressing "; The U.S. Provisional Patent Application serial number 61/057,802 submitted on May 30th, 2008, be entitled as " Reduced-Pressure Dressing Assembly For Use in Applying a ClosingForce "; The U.S. Provisional Patent Application serial number 61/057,803 submitted on May 30th, 2008, be entitled as " Reduced-Pressure, Linear-Wound Treatment System "; The U.S. Provisional Patent Application serial number 61/057,800 submitted on May 30th, 2008, be entitled as " Reduced-Pressure, Compression System and Apparatus for use on a Curved Body Part "; In on May 30th, 2008 submit to U.S. Provisional Patent Application serial number 61/057,797, be entitled as
" Reduced-Pressure, Compression System and Apparatus for use on BreastTissue "; The U.S. Provisional Patent Application serial number 61/057,805 submitted on May 30th, 2008, be entitled as " Super-Absorbent, Reduced-Pressure Wound Dressing and System "; In on May 30th, 2008 submit to U.S. Provisional Patent Application serial number 61/057,810, be entitled as
" Reduced-Pressure, Compression System and Apparatus for use on a Joint "; The U.S. Provisional Patent Application serial number 61/121,362 submitted to for 10th in December in 2008, be entitled as " Reduced-Pressure Wound Treatment System Employing an AnisotropicDrape "; And the U.S. Provisional Patent Application serial number 61/144,067 of submitting on January 12nd, 2009, be entitled as " Reduced-Pressure, Compression System and Apparatus foruse on a Joint ".For whole objects, the whole of these provisional application are incorporated to by reference at this.
Background
technical field
The present invention relates generally to medical treatment system, and more particularly, relate to and being suitable for and the reduced pressure wound therapy system using together with linear wound (linear wound) such as surgical wound.
background technology
All over the world, doctor carries out millions of surgical procedures every year.Many processes are performed as open surgery, and more and more quantity is used micro-wound surgical operation to be performed, such as arthroscope, peritoneoscope and endoscopic procedure.As an example, the aesthstic plastic surgery of the U.S. learns report, within 2007, has the fat absorption method process more than 450,000 in the U.S..
Surgical procedures is followed the serious wound in skin and linked groups, for example otch or linear wound.Except surgical incision, linear wound is also caused by wound.In many examples, use the closed linear cuts of machinery such as nail, stitching thread or binding agent, then wound only covers with binder that do, sterilization.Binder must often be removed to check wound, to monitor the development of wound and infection or other problems are checked.Unless otherwise noted, as used herein, "or" does not need mutual exclusiveness.
summary of the invention
Solve about the shortcoming of some aspect of wound care illustrative embodiment from here.The present invention can be used on linear wound, region wound or other wounds.Whether " linear wound " be commonly referred to as breach or the otch on a line.According to an illustrative embodiment, a kind ofly make transparent dressing assembly for treating patient's linear wound with it comprise for providing the closed dressing bolster of closing force when under decompression and for covering closed dressing bolster and the containment member of sealing being provided on closed dressing bolster together with depressurized system.Closed dressing bolster and containment member form from the transparent material of some aware colors of transparent dressing assembly outside by being enough to permission.Closed dressing bolster can comprise roof and diapire.Roof is connected to separate relation with diapire.Diapire has core, the first sidepiece and the second sidepiece.The first enclosed member is formed on the first sidepiece, and the second enclosed member is formed on the second sidepiece.Under being placed in decompression time, the first enclosed member and the second enclosed member move towards each other.
In this illustrative embodiment, the first enclosed member and the second enclosed member can be exercisable to move towards each other under decompression.
In this illustrative embodiment, containment member can comprise the containment member of being made up of transparent elastic material.
In this illustrative embodiment, closed dressing bolster can comprise transparent silicon resin.
In this illustrative embodiment, containment member can comprise the containment member of being made up of transparent elastic material, and closed dressing bolster can be formed by transparent silicon resin.
According to another illustrative embodiment, a kind of system of utilizing decompression treatment patient wound is with it proposed, it allows the visible observation of the wound during treating.This system comprises: transparent dressing bolster, and it for being placed on patient's epidermis on wound; Transparent sealing subsystem, it for providing fluid-tight on transparent bolster; And decompression subsystem, it is for arriving reduced pressure delivery sealing subsystem.Sealing subsystem and decompression subsystem are exercisable so that reduced pressure delivery is arrived to transparent dressing bolster, and system is created in the directing force of realizing wound and reduced pressure delivery is arrived to wound whereby.Transparent component is exercisable to allow light to pass through, so that the depth of the color of wound, color or edge of wound can be perceived from a position of system outside.
In this illustrative embodiment, dressing bolster can comprise: roof; Diapire, roof can be connected to separate relation with diapire, and diapire can have core, the first sidepiece and the second sidepiece; The first enclosed member, it can be formed on the first sidepiece; And second enclosed member, it can be formed on the second sidepiece.
In this illustrative embodiment, dressing bolster can have first surface, towards interior second surface, and can comprise: angled end, and it can form a part for dressing bolster; Wherein, dressing bolster can be formed by medical science bolster material; Medical science bolster material can have the 20kg/m of being greater than 3density; And dressing bolster is uniformly distributed the feature of directing force can have under reducing pressure time.
In this illustrative embodiment, sealing subsystem can comprise the containment member by transparent elastomeric material is made at least partly.
In this illustrative embodiment, dressing bolster can be formed by silicones, and sealing subsystem can comprise the containment member of being made up of transparent elastic material.
In this illustrative embodiment, this system also can comprise: silicones window widget, silicones window widget can be disposed in the perception that can operate to improve the color to wound on dressing bolster and under decompression.
According to another illustrative embodiment, a kind of method of manufacturing transparent dressing assembly comprises the following steps: form bolster, this bolster provides directing force to Wound healing and bone regeneration region while being used under reducing pressure; And provide transparent sealing member to cover bolster, and this transparent sealing member allows the fluid-tight on bolster and patient's epidermis.Forming the step of bolster comprises by transparent material and forms bolster.
In this illustrative embodiment, the step that forms bolster can comprise: form bolster by transparent silicon resin.
In this illustrative embodiment, the step that forms bolster can comprise: squeeze out bolster.
In this illustrative embodiment, the step that forms bolster can comprise: molded bolster.
According to another illustrative embodiment, a kind ofly comprise with the dressing component using together with patient's Reduced pressure treatment system with it: bolster, it is for being placed on patient's wound with it and for directing force is provided when under decompression; Containment member, it is for covering bolster and provide fluid-tight on a part for bolster and patient's epidermis; And visual checkout facility, it is for visually detecting the color at patient's wound with it.Other illustrative embodiment are also proposed below further.
In this illustrative embodiment, visual checkout facility can comprise the transparent material that formation containment member uses, and bolster can comprise transparent material.
In this illustrative embodiment, visual checkout facility can comprise the bolster material with structural detail, and the width that structural detail interval separates is enough to allow by bolster material and transparent sealing member aware colors.
In this illustrative embodiment, visual checkout facility can comprise the bolster material with structural detail, and the width that structural detail interval separates is enough to allow by bolster material and transparent sealing member aware colors; And wherein, bolster material can comprise transparent foaming.
In this illustrative embodiment, visual checkout facility can comprise the bolster material with structural detail, and the width that structural detail interval separates is enough to allow by bolster material and transparent sealing member aware colors; And wherein, bolster material can comprise bolster net.
In this illustrative embodiment, visual checkout facility can comprise bolster material, and can comprise the bolster window being arranged on bolster material, so that when clamping pad Lignum Litseae Pungentis material, can pass through bolster material and bolster windows detecting color by decompression when bolster window.
In this illustrative embodiment, containment member can comprise transparent elastic material.
In this illustrative embodiment, bolster can comprise silicones, and containment member can comprise transparent elastic material.
According to another illustrative embodiment, a kind of method for the treatment of patient's linear wound with it comprises the following steps:
On linear wound and on patient's epidermis top, deploy transparent dressing assembly;
On a part for transparent dressing assembly and patient's epidermis, deploy transparent sealing member to form fluid-tight;
Provide decompression to transparent dressing assembly, produce whereby directing force; And
Visually observe linear wound by transparent dressing assembly and transparent sealing member.
In this illustrative embodiment, transparent bolster can comprise the bolster being formed by transparent silicon resin.
Other feature and advantage of illustrative embodiment will become obvious with reference to following accompanying drawing and detailed description.
Brief description of the drawings
The understanding more completely to method and apparatus of the present invention by acquisition with reference to following detailed description by reference to the accompanying drawings, wherein:
Fig. 1 is the perspective schematic view with some cross section that is used for the treatment of the illustrative embodiment of the system of patient's linear wound with it;
Fig. 2 is the perspective schematic view of the illustrative embodiment of the closed dressing bolster that uses in the time of linear wound with it for the treatment of patient;
Fig. 3 A is the schematic cross-section that is used for the treatment of the illustrative embodiment of the system of patient's linear wound with it;
Fig. 3 B is the schematic cross-section from the details of Fig. 3 A;
Fig. 3 C is the schematic cross-section from the details of Fig. 3 A;
Fig. 4 A is the perspective schematic view of the illustrative embodiment of the closed dressing bolster that uses in the time of linear wound with it for the treatment of patient;
Fig. 4 B is the decomposed perspective view of the closed dressing bolster of Fig. 4 A, an illustrative embodiment of its display pipes adapter;
Fig. 4 C is the cross section of the closed dressing bolster of Fig. 4 A;
Fig. 4 D is the details of the closed dressing bolster of Fig. 4 C;
Fig. 5 is the perspective schematic view that is used for the treatment of the illustrative embodiment of the closed dressing bolster of patient's linear wound with it;
Fig. 6 is the schematic cross-section that is used for the treatment of a part for the illustrative embodiment of the system of patient's linear wound with it;
Fig. 7 is the schematic cross-section that is used for the treatment of the illustrative embodiment of a part for the system of patient's linear wound with it; And
Fig. 8 is the perspective schematic view with some cross section that is used for the treatment of the illustrative embodiment of impaired hypodermic system, and this system allows a bit to see wound from system outside.
Detailed description of the preferred embodiment
In following detailed description of the preferred embodiment, for form a part herein and illustrate as explanation that therein the accompanying drawing that can implement concrete preferred implementation of the present invention makes reference.These embodiments are fully at length described so that those skilled in the art can implement the present invention, and should be understood that other embodiments can be utilized and the change with chemical logical structure, machinery, electricity can be made and do not depart from the spirit or scope of the present invention.For fear of making those skilled in the art can implement the unwanted details of the present invention, description may have been omitted some known information for those skilled in the art.Therefore, following detailed description is not understood to restrictive, sense, and scope of the present invention is only limited to the appended claims.
With reference to figure 1-3, show and be used for the treatment of such as breach or the illustrative embodiment of the depressurized system 10 of the linear wound 12 of otch 14 more typically.Depressurized system 10 can be fixed or support cutout tissue around, strengthens the tensile strength of otch 14; Compression subcutaneous tissue 20; Remove interstitial fluid, it can help to reduce or eliminate edema; And linear wound 12 and the source of infection are isolated.Depressurized system 10 can be particularly suitable for for patient on the line, for example very fat patient, diabetics, smoker etc.
Although linear wound 12 may extend into different depth, in this example, otch 14 extends through epidermis 16, corium 18 and extends in subcutaneous tissue 20.In this example, impaired subcutaneous tissue 22 comprises subcutaneous space 24 or dead band.Although do not illustrate in this embodiment, but linear wound 12 can have any amount of closing apparatus using on linear wound (closing device), for example, mechanical closure equipment (stitching thread, nail, fixture etc.), binding agent, binding agent etc.Wound can be maybe to comprise graft.
Depressurized system 10 can comprise dressing component 40, its can be placed on linear wound 12 and and reduce pressure together with used to supply directing force (directed force), this directing force can comprise compression stress 42 or closing force 44 internal-direction-force of the external margin of dressing component (or about).Dressing component 40 can comprise closed dressing bolster 46, and it produces directing force, for example compression stress 42 or closing force 44 under decompression.Closed dressing bolster 46 can be formed by bolster main body 50.Closed dressing bolster 46 is preferably by allowing bending but be that the material to carry closing force of enough rigidity is made.
Bolster main body 50 can comprise the first enclosed member 52 and the second enclosed member 54.Can comprise other enclosed member, such as member 56,58,60 and 62.Sealing subsystem 70 and decompression subsystem 90 coordinate to produce directing force with closed dressing bolster 46, for example closing force 44 or compression stress 42.
Closed dressing bolster 46 can be made up of a material, and this material contributes to decompression to be assigned to linear wound 12, compression stress 42 is provided and provides closing force 44 by for example enclosed member of enclosed member 56---the preferably power in the plane of epidermis 16 substantially.In addition, preferably translucent or transparent for the material of closed dressing bolster 46 so that light can by with allow people by this bolster material from the linear wound 12 of a bit checking of depressurized system 10 outsides.The material that can form closed dressing bolster 46 is further described below.
As arrived in prerequisite, depressurized system 10 can allow the depth, edge of wound or other features of a bit discovering intuitively wound color, color from depressurized system 10 outsides.Like this, the depth of color, color, the character of edge of wound or other features can be determined and do not needed the removal of dressing component 40 by health care supplier, thereby and can avoid increasing the risk of complication and the pain of change of dressing.Like this, another dressing component 40 or its a part of expense also can be avoided.Depressurized system 10 also can provide compression stress 42 to linear wound 12, and this power can help linear wound 12, subcutaneous tissue 22 or subcutaneous space 24 to heal, and can stablize linear wound 12 with respect to shear stress (shear).Depressurized system 10 also can help to remove from the transudate of linear wound 12 and help closed space 24.
Sealing subsystem 70 can comprise containment member 72.Containment member 72 has the second inside side 76 of the first side 74 dough-making powder.The part of containment member 72 is extensible exceeds closed dressing bolster 46, and for example excess edge 48, prolongs 77 to form wing flap (flap) or drape beyond the region of objective existence, and it has the second inside side 79 of the first side 78 dough-making powder.Containment member 72 can be any material that fluid-tight is provided, and it allows decompression to be kept.For example, containment member can be impermeable or semi permeable elastomeric material." elastic " represents to have elastomeric characteristic.It is commonly referred to as the polymeric material with class rubber property.More specifically, most of elastomer has and is greater than 100% percentage elongation and the resilience of a great deal of.The resilience of material refers to the ability that material recovers from elastic deformation.Elastomeric example can include but not limited to, natural rubber, polyisoprene, styrene butadiene ribber, chloroprene rubber, polybutadiene, acrylonitrile-butadiene rubber, butyl rubber, EP rubbers, ethylene propylene diene rubber, chlorosulfonated polyethylene, thiorubber., polyurethanes, EVA film, copolyester and silicones.The object lesson of seal member material comprises silicones drape thing, 3M drape thing, acrylic acid drape thing (such as the available one from Avery Dennison) or cutting drape thing (incise drape).
Sealing device 80 or connection device can be used to help drape beyond the region of objective existence prolong 77 and patient's epidermis 16 between fluid-tight is provided.In the present embodiment, sealing device 80 can be binding agent 82, its be applied to wing flap extension 77 towards the second interior side 79, so that the such sealing with respect to epidermis 16 to be provided.Sealing device 80 can be used to keep containment member 72 pasting patient's epidermis 16 or another layer such as pad (gasket) or additional seal member.Sealing device 80 can adopt many forms.For example, sealing device 80 can be medically acceptable, contact adhesive, and extend its periphery around containment member 72.
Decompression subsystem 90 comprises Reduced pressure source 92, or treatment unit.Reduced pressure source 92 provides decompression.Reduced pressure source 92 can be any for supplying the equipment of decompression, such as vacuum pump, wall type suction apparatus (wallsuction) or other sources.Generally will change according to application although be applied to the amount of decompression and the character of tissue, decompression generally will be at-5mm Hg between-500mm Hg, and more typically-100 mm Hg extremely-300mm Hg between.In one embodiment, be maintained at-200mm of decompression Hg left and right.For convenient and object flexibly, Reduced pressure source 92 can be battery-operated unit, and it can provide continuous and interrupted decompression.Reduced pressure source 92 or treatment unit can comprise tank 94 or storage, and can be provided with the occupied state of window 96 to allow patient or health care supplier to check tank 94.Decompression subsystem 90 also comprises reduced pressure delivery conduit 98 or medical science pipeline, and it is fluidly connected to the body 100 of plugging into that reduces pressure, such as port one 02.Plug into body 100 of reduced pressure delivery conduit 98 and decompression allows decompression to be transported in sealing subsystem 70.
As used herein, " decompression " is commonly referred to as the ambient pressure that pressure is less than linear wound 12, tissue site or treatment site under treating.Under most of situations, this decompression will be less than the present atmospheric pressure of patient.Selectively, decompression can be less than the hydrostatic pressure in tissue site.Unless otherwise noted, be gauge pressure in the value of this definite pressure.The decompression of carrying can be constant or (specification or random) that change, and can be carried continuously or intermittently.Be applied to the pressure of tissue site although term " vacuum " and " negative pressure " can be used to describe, be applied to tissue site actual pressure can more than with normally associated pressure of absolute vacuum.Consistent with the use at this, the increase of decompression or vacuum pressure generally refers to the relative minimizing of absolute pressure.
Closed dressing bolster 46 can be made up and soft polymer preferably of polymer.In an illustrative embodiment, closed dressing bolster 46 is the materials with the hardness of 50Shore A, but other materials and feature are possible.Closed dressing bolster 46 and bolster main body 50 can be made up of transparent material, and containment member 72 is the same, to allow from the color of a bit checking linear wound 12 of depressurized system 10 outsides, the depth, edge of wound or other features (seeing Fig. 6) of color.The variation of the change color of linear wound 12 or the depth of color can show the generation of infection or other problems, and this visual prompting provides Useful Information to health care supplier.Bolster main body 50 can be made up of for example soft polymer, the silicones of medical grade or the flexible closed bolster material of other suitable materials.That closed dressing bolster 46 can be extruded, pour into is molded, injection-molded, blown-moulding or formed by other manufacturing technologies." flexibility " represents to move and is enough to produce interior to closing force.
Now mainly with reference to figure 2, closed dressing bolster 46 be illustrated be formed on the second wall 55 of bolster main body 50 or diapire towards the multiple holes 64 on the second interior side or surface 49.Hole 64 is formed on core 66 times, and particularly near the centrage 68 of bolster main body 50.Show that the details in a hole 64 is shown in Fig. 3 C.The first wall 53 or roof and the second wall 55 are connected to form hollow region or center compartment 57 to separate relation.Mainly with reference to figure 2, hole 64 is convenient to, by bolster main body 50, decompression is transferred to linear wound 12 again.The additional hole of different pattern can be arranged in bolster main body 50 so that decompression to the transmission of patient's epidermis 16, and the transmission of particularly arriving linear wound 12.One or more holes, such as hole 65, can be formed on first side 47 of the first wall 53 of bolster main body 50.Enclosed member 52,54,56,58,60 and 62 illustrates on the second side 49 towards interior.Enclosed member 52,56 and 58 is the second sidepiece at core 66 at the first sidepiece of core 66 and enclosed member 54,60 and 62.
As being clearly shown that in Fig. 3 A and 3B, inclined surface 69 has the angle forming about vertically extending imaginary plane (for vertical in the direction shown in Fig. 2).The inclined surface 69 relative with surface 63 illustrates reference vertical plane 59 angulations 61 that form about the summit place at inclined surface 69.
In operation, in the time that needs are treated, closed dressing bolster 46 is placed on linear wound 12, and the core 66 on linear wound 12 approaches center wound area 45 simultaneously.If closed dressing bolster 46 is not manufactured the containment member 72 with application on the first side 47 in advance, containment member 72 is employed and exceeds closed dressing bolster 46 and prolongs 77 to form wing flap extension or drape beyond the region of objective existence on the first side 47 of closed dressing bolster 46 so.Drape beyond the region of objective existence prolongs 77 and is employed to provide fluid-tight between the epidermis 16 containment member 72 and patient with band stickup or binding agent 82 downwards." fluid-tight " or " sealing " represents to consider the specific decompression subsystem relating to and is enough to keep the sealing of reducing pressure at the position of needs.
Decompression subsystem 90 by decompression plug into body 100 be fluidly connected to sealing subsystem 70.Reduced pressure source 92 is activated, and produce decompression and by reduced pressure delivery conduit 98 by reduced pressure delivery to the body 100 of plugging into of reducing pressure.In the time starting, Reduced pressure source 92 causes that to sealing subsystem 70 and decompression closed dressing bolster 46 produces compression stress 42 by reduced pressure delivery.The geometry of closed dressing bolster 46 can make bending moment produce about core 66, thereby and cause enclosed member 52,54,56,58,60 and 62 produce downward and inside making a concerted effort (for shown in direction).This effect produces directing force, for example compression stress 42 or closing force 44.Can experience these power at linear wound 12 places or near linear wound 12.
Mainly, with reference to figure 2, the generation of closing force or compression stress is described in further detail.Each in inclined surface 69 between adjacent enclosed member 58 and 56,56 and 52,52 and 54,54 and 60 and 60 and 62 forms a part for the ridge of triangle, and each has summit: the first summit 67, the second summit 71, culminating point 75, the 3rd summit 83 and the 4th summit 85.In the time that decompression enters hole 65, center compartment 57 is evacuated until some or all in summit 67,71,75,83 and 85 run into the first wall 53.Decompression also therefrom 57 is carried by hole 64 between septum cordis, and decompression can provide compared with propelling summit, highland or make as possible the power that the angle associated with each summit is less.Because these are active one or more, enclosed member 52,54,56,58,60 and 62 is advanced towards centrage 68, and by the friction of the epidermis with respect to patient from enclosed member 52,54,56,58,60 and 62, on patient's epidermis, produce closing force.Along with the first wall 53 and the second wall 55 are depressurized traction and are pulled towards patient or in the direction of advancing from the first wall 53 to second walls 55, can produce compression stress.
Now main with reference to figure 4A, 4B, 4C and 4D, show another illustrative embodiment of closed dressing bolster 146.Closed dressing bolster 146 has the bolster main body 150 that is formed with the first enclosed member 152 and the second enclosed member 154.The 3rd enclosed member 156 and the 4th enclosed member 158 are also shown.Enclosed member 152 and 156 is being to form on first side of a side of central plane 168 or core or Part I 153, and can extend the longitudinal length of closed dressing bolster 146.Enclosed member 154 and 158 is being to form on Part II on the opposite side of central plane 168 or side 155.
Central channel district 157 can help bolster main body 150 in this region bending, because produced bending moment under decompression.Bending moment contributes to enclosed member 152,154,156 and 158 is pressed onto in patient's epidermis and directing force can be provided, compression stress and the closing force for example for example, guided towards center wound area (region 45 in Fig. 1).In this illustrative embodiment, about the intensity of extruding and easness from a material, for example silicones, has selected the shape of bolster main body 150, for example, and so that bolster main body 150 is subsided in a desired manner or move to produce directing force, compression or closing force.Closed dressing bolster 146 can by transparent or at least partly transparent material make so that closed dressing bolster 146 can help the color of a bit checking the linear wound below closed dressing bolster 146 of the system outside from utilizing closed dressing bolster 146, the depth, edge of wound or other features of color.
As shown at Fig. 4 A and 4B, pipe jointer 199 can be used for providing decompression to closed dressing bolster.Pipe jointer 199 is made according to size and is configured to be coordinated with the central channel district 157 on closed dressing bolster 146.Pipe jointer 199 is fluidly connected to reduced pressure delivery conduit 198, thus reduced pressure delivery is arrived to closed dressing bolster 146.Within hole 151 allows to reduce pressure and is delivered to closed dressing bolster 146.As shown in clear in Fig. 4 C, hole 164 can form the linear wound below decompression being delivered to help in a part for closed dressing bolster 146.
Now main with reference to figure 4C-4D, the generation of closing force or compression stress will be described in further detail.In this illustrative embodiment, bolster main body 150 is squeezed center compartment 123 and the multiple compartment of being pressed with.Six 111,113,115,117,119 and 121 in multiple compartments form on Part I 153.Center compartment 123 forms in abutting connection with central channel 157 substantially.Six 125,127,129,131,133 and 135 in multiple compartments form on Part II 155.In this embodiment, only center compartment 123 receives decompression and does like this by hole 151.
Multiple compartments, for example compartment 111,113,115,117,119,121,125,127,129,131,133 and 135, uses the first wall 139 (or roof), the second wall 141 (or diapire) and multiple reticular component (web member) 143 to form.Except the bottom part 145 of central channel 157 is designed to subside with respect to the shelf portion (shelf portion) 161 of center compartment 123 under decompression, multiple compartments provide intensity to subside with respect to the second wall 141 to prevent the first wall 139.It should be noted in the discussion above that the first enclosed member 152 and second enclosed member 154 is separated separates, and make and be configured to provide treatment tank 163 according to size.Treatment tank 163 can have dome-shaped otch (dome-cutout) 165 and inclined wall 167.The first enclosed member 152 forms on the first sidepiece about central plane 168, and the second enclosed member 154 forms on the second sidepiece about central plane 168.
In the time that decompression is transported to hole 151, decompression enters center compartment 123 and is transported in treatment tank 163 by hole 164.Decompression causes the bottom part 145 of central channel 157 to be subsided and the shelf portion 161 of contact center compartment 123.In addition, the traction of the decompression in treatment tank 163 inclined wall 169 toward each other.These active one or more bolster main bodys 150 that cause are about central plane 168 warpages or bending, thereby and advance enclosed member towards central plane 168.Multiple compartments preferably do not subside and continue to provide intensity.And, inside when decompression,, on the direction of advancing from the first wall 139 to second walls 141, while drawing closed dressing bolster 146, produce compression stress.
Now, mainly with reference to figure 5, show another embodiment of closed dressing bolster 246.Closed dressing bolster 246 comprises bolster main body 250, and it is formed with the first enclosed member 252 on the first side 253 or the first sidepiece and the second enclosed member 254 on the second side 255 or the second sidepiece.The first and second enclosed members 252 and 254 have inclined wall, its towards wick material holder 236 upwards angled (for shown in direction).About core 268, emulsion sheet 265 or covering can cover and fixing enclosed member 252 and 254.Gap between enclosed member 252 and 254 forms the wick material holder 236 of fixing wick material 238.The material of the shape of wick material 238 and wick material 238 can operate that to help remain on linear wound below (for example, the linear wound 12 in Fig. 1) dry and clean.
The material that can be used to wick material 238 comprise hydrophobic material, water wetted material and list elsewhere can be used for all material of described shaping dressing bolster 532 (seeing Fig. 8) below.Emulsion sheet 265 and enclosed member 252 and 254 can be made up of transparent material, it allows closed dressing bolster 246 to use together with a system, and this system allows health care supplier from the color of a bit checking the linear wound below closed dressing bolster 246 of closed dressing bolster 246 outsides (seeing the example of Fig. 6) or system outside, the depth, edge of wound or other features of color.
In operation, closed dressing bolster 246 can produce bending moment under decompression, cause the bottom part of the first enclosed member 252 and the bottom part of the second enclosed member 254 on patient's epidermis downwards (for shown in direction) and to intrinsic pressure, thereby cause compression stress or the closing force towards linear wound.Removable the first enclosed member 252 of decompression and the second enclosed member 254 that are transported to wick material holder 236 are mutually more close, thereby and provide closing force.Closed dressing bolster 246 made according to size and configuration so that wick material 238 can contact with linear wound, thereby and contribute to remove any fluid that may flow out from linear wound.Any such fluid is plugged into body and under the impact of Reduced pressure source, is transported to tank by reduced pressure conduit being subsequently transported to reduce pressure.
Shown illustrative closed dressing bolster 46,146 and 246 can provide from the visual mensuration of the depth, edge of wound or other features of the color of the wound of a position of closed dressing bolster outside, color above.For the dressing of the other types that will discuss now, this feature is also possible.Refer now to Fig. 6, show a part for Reduced pressure treatment system 310.Reduced pressure treatment system 310 comprises transparent dressing assembly 340, and it has bolster main body 350.Bolster main body 350 can be made up of any amount of material such as bolster net or bolster foam, as long as the pitch of holes between the structural detail at foam (transparent foam) above or at material allows enough light by material, the depth of the color of linear wound 312, color, edge of wound or other features can be in sight from any of Reduced pressure treatment system 310 outsides, for example, can be in sight on by the sight line position shown in reference number 384.For example, bolster main body 350 can be formed by silicones or porous foam, for example, the Kinetic Concepts of (Texas) San Antonio (San Antonio) from Texas, Inc. is obtainable material.The size in hole and density can be changed to help the feature that provides transparent.
In selectable illustrative embodiment, can be placed on a part for bolster material such as the window 386 of the window of being made by transparent silicones, so that when provide to bolster main body 350 decompression and window 386 on bolster material when further to lower compression, it is a bit visual from bolster main body 350 and system 310 outsides that linear wound 312 becomes by window 386.For example, patient or health care supplier can see linear wound 312 in sight line 388.
In another selectable, illustrative embodiment, transparent pearl can be used as bolster main body 350 or be included in bolster main body 350.Pearl can be disposed in bolster main body so that under negative pressure, pearl is assembled on wound, thereby allows patient or health care supplier from bolster main body 350 and system 310 or outside a bit understand thoroughly wound.Bolster main body 350 can be Web materials, and in the time that they assemble under decompression, pearl can move.
In another embodiment, window can be formed so that when remove decompression from bolster main body 350, have the part (biased portion) of deflection to move on one side, thereby allow people to check linear wound 312.For example, in the time of two parts of decompression compression bolster main body 350, these two parts can crossover, but while being removed when reducing pressure, these two parts separate and allow clearly to check linear wound.Like this, will recognize, many visual checkout facilities can be used to allow visually to detect color and other features of wound.Visual checkout facility can be transparent bolster and transparent sealing member, window 386, allow the moveable part that allows visual inspection when not under decompression of bolster material, multiple transparent pearl or bolster that enough light passes through.
Bolster main body 350 is illustrated by containment member 372 and covers, and containment member 372 extends beyond bolster main body 350, and for example excess edge 348 prolongs 377 to form drape beyond the region of objective existence.Drape beyond the region of objective existence prolongs 377 and can use such as the sealing device 380 of drape thing band 383 or other water-tight equipments and seal, to form fluid-tight between the epidermis 314 containment member 372 and patient.
Now, mainly with reference to figure 7, show a part for the example systems 410 that is used for the treatment of linear wound 412.System 410 comprises dressing component 440.Dressing component 440 comprises dressing bolster 446, and it has dressing main body 450.Dressing main body 450 can be formed with two parts: the first side or the first sidepiece 453, and the second side or the second sidepiece 455.Part I 453 and Part II 455 can integrated connection can be maybe two separation members.Part I 453 is formed with enclosed member 452 and 456.Part II 455 is formed with enclosed member 454 and 460.Under decompression, compression stress and closing force that enclosed member 452,454,456 and 460 produces towards linear wound 412.Dressing main body 450 is illustrated by containment member 472 and covers, and containment member 472 use sealing devices 480 seal to provide the sealing with respect to patient's epidermis 416.
The first wall 437 on Part I 453 and the second wall 439 on Part II 455 can be formed for the wick material holder 436 of fixing wick material 438 jointly.Wick material 438 can keep pasting linear wound 412, for example, to help to remove any fluid, transudate when placed dressing component 440 under decompression time.
Now, mainly with reference to figure 8, show illustrative transparent wound therapy system 510, it allows health care supplier to check therapentic part, a such as part for linear wound 512, region wound, intact epidermis 514 etc., and compression stress can be provided.Transparent wound therapy system 510 can provide the treatment of subcutaneous damaged tissues, and can allow to check therapentic part from a position of transparent wound therapy system 510 outsides.
In the otch peripheral region around linear wound 512, transparent wound therapy system 510 is shown, linear wound 512 by epidermis 514, corium 516 and arrive in hypodermis or subcutaneous tissue 518 in.Subcutaneous tissue 518 can comprise many organization types, such as fatty tissue or muscle.Impaired subcutaneous tissue position 520 is shown extends from linear wound 512, and comprises in this example subcutaneous damaged, dead band or space 522.Impaired subcutaneous tissue position 520 can be caused by the surgical procedures such as fat absorption method.Impaired subcutaneous tissue position 520 can comprise that such as the space in space 522, open space, with Bu Tong damaged, it may be trouble for a large amount of reasons, gathers such as the fluid that can cause edema.
Linear wound 512 can come by any closing apparatus or technology closed, such as nail, stitching thread or binding agent, but illustrates with nail 513 in this illustrative embodiment.Transparent wound therapy system 510 can be used for treating a region and particularly can be used for treating subcutaneous tissue position 520 and the tissue around subcutaneous tissue position 520, but transparent wound therapy system 510 also can be used to treat the more limited region of linear wound 512.
Transparent wound therapy system 510 comprises dressing component 530, and it comprises shaping dressing bolster 532, sealing subsystem 560 and decompression subsystem 580.In operation, transparent wound therapy system 510 can produce a directing force, and it can comprise net compressive force, is represented by reference number 524, and it realizes in subcutaneous tissue position 520.As described further below, shaping dressing bolster 532 can be formed and be configured to allow compression stress 524 to distribute quite equably on patient's epidermis 514.In addition, if the region of the power that existence increases in fact compared with other regions on epidermis 514, skin irritation can occur so.
Directing force also can comprise closing force or internal-direction-force, towards the power of the interior section of dressing component 530.Closing force is represented by reference number 526.Closing force 526 remains in the plane of epidermis 514 fully.In other words, closing force 526 mainly works in epidermis 514.In addition, transparent wound therapy system 510 is exercisable so that reduced pressure delivery is arrived to linear wound 512, and depend on the stage of healing and the character of linear wound 512, by linear wound 512, make to draw close together and help to remove any air or any other fluid at the tissue in this region to help to be similar to so that realize decompression at the level place in any subcutaneous space 522.
Dressing component 530 comprises shaping dressing bolster 532, and it has the second inside side 536 of the first side 534 dough-making powder.Although large or reduced size can be used in different application, the estimation region at impaired subcutaneous tissue position 520 can make and form fully to mate according to size to the dressing bolster 532 that is shaped.Shaping dressing bolster 532 has edge 538.Shaping dressing bolster 532 can be by many different medical science bolster materials, and material that be suitable for using in medical application and can aseptic formation is made.In an illustrative embodiment, shaping dressing bolster 532 is made up of the medical science bolster material that is manifold material.In an illustrative embodiment, shaping dressing bolster 532 is made up of the bolster material of the material for porous and permeable similar foam, and is more particularly made up of netted, the perforate polyurethane of excellent permeability or the bolster material of polyether foam that allow wound fluid under reducing pressure time.A kind of such foamed materials having been used is the Kinetic Concepts from San Antonio, Texas, and Inc. (KCI) is obtainable material.The combination of any material or material can be used to bolster material, as long as this bolster material is exercisable with distribute reduced pressure or branch's decompression.
Be commonly referred to as and be configured to help the material or the structure that apply decompression, transport fluid into tissue site or remove fluid from tissue site as term " manifold " as used herein.Bolster material can also be combination or the layering of material; For example, the first bolster layer of hydrophilic foam can be arranged in abutting connection with the second bolster layer of hydrophobic foam to form bolster material.Be commonly referred to as gas or liquid as term " fluid " as used herein, but also can comprise any other flowable materials, include but not limited to gel, colloid and foam.
Generally the scope of about 400 to 600 microns the netted aperture of material is useful realizing in manifold function, but other materials can be used.The density of medical science bolster material, for example the density of material, generally at about 1.31b/ft 3-1.61b/ft 3(20.8kg/m 3-25.6kg/m 3) scope in.In some cases, there is ratio the material of the density that the density of material is high can be desirable.For example, can use and there is the 1.61b/ft of ratio 3(25.6kg/m 3) large density material or similar material.As another example, can use and there is the 2.01b/ft of ratio 3(32kg/m 3) or 5.01b/ft 3(80.1kg/m 3) large or even larger density material or similar material.The density of material is larger, larger for the producible compression stress of decompression of specifying.If be used as medical science bolster material with the foam of the density less than organizing of tissue site, can produce lifting force (lifting force).
Bolster material can be the reticulated polymer foam that is become after a while about 1/3 thickness of the original thickness of foam by felt.Among many possible materials, following can be used: material or technology bubble ( www.foamex.com).In some instances, silver ion being added to bolster material in microbonding technique, or add other materials such as antibacterial to bolster material, may be desirable.Bolster material can be isotropism or anisotropic, depends on the accurate direction at the needed directing force of decompression.Bolster material can be by adding silk, a felt part, optionally add binding agent etc. is made into anisotropic.Bolster material can be the material of biological absorbable.
Sealing subsystem 560 comprises containment member 562, or drape thing, and it is similar to containment member 72.Containment member 562 can be connected to shaping dressing bolster 532.For example, containment member 562 can be used binding agents such as acryloid cement, silicon resin adhesive, hydrogel, hydrocolloid and be connected with shaping dressing bolster 532.As another example, containment member 562 and shaping dressing bolster 532 can pass through thermal, combination of ultrasound and radio frequency in conjunction with etc. and combined.Can be patterned ground or fully connect.Structure can be added to joint portion so that containment member 562 shows anisotropy in the direction of expecting, forms anisotropic drape thing material.Anisotropy drape thing material contributes to dressing component 530 mainly to move up in designated parties, only around definite axle.
In the illustrative embodiment of Fig. 8, containment member 562 can make to extend beyond shaping dressing bolster 532 according to size, for example, exceed endways the edge 538 on 533, prolongs 564 or extension to form drape beyond the region of objective existence.Drape beyond the region of objective existence prolongs 564 and has the inside second surface 568 of first surface 566 dough-making powder.Containment member 562 can use sealing device 569 and be sealed with respect to patient's epidermis 514, and it contributes to provide to seal and allow and maintains decompression by the decompression subsystem 580 for the treatment of site.Sealing device 569 can adopt many forms, such as binding agent 570; Band or drape thing band or bar; Two-sided drape thing band; Paste; Hydrocolloid; Hydrogel; Or other water-tight equipments.If band used, its can by with form with the identical material of containment member 562 that apply in advance, contact adhesive.Contact adhesive 570 can be applicable to drape beyond the region of objective existence prolong 564 on interior second surface 568.Contact adhesive 570 provides the sealing between containment member 562 and patient's epidermis 514.Before containment member 562 is fixed to patient, contact adhesive 570 can have the movably bar or the backboard that cover contact adhesive 570.
Decompression subsystem 580 comprises Reduced pressure source 582 or treatment unit, and it can adopt many different forms.Reduced pressure source 582 provides decompression as a part for transparent wound therapy system 510.Reduced pressure source 582 can be any equipment for supplying decompression, such as vacuum pump, wall type suction apparatus or other sources.Usually will change according to application although be applied to amount and the character of the decompression of tissue, decompression generally will-5mm Hg and-500mm Hg between and more typically-100mm Hg and-300mm Hg between.In order to maximize patient's motility and comfortable, Reduced pressure source 582 can be decompression generator battery powered, single use, and it makes application in operating room convenient and provide motility and convenient for the patient during recovery phase.
In the illustrative embodiment of Fig. 8, the Reduced pressure source 582 with battery case 584 and container area 586 is shown, container area 586 is with the window 588 of visual instruction that the level of fluid is provided in container area 586.The membrane filter of putting into, such as filter hydrophobic or oleophobic, can be interspersed between reduced pressure delivery conduit or pipeline 590 and Reduced pressure source 582.
The decompression being produced by Reduced pressure source 582 is transported to the decompression body 592 of plugging into by reduced pressure delivery conduit 590, and the decompression body 592 of plugging into can be bend pipe port 594.In an illustrative embodiment, bend pipe port 594 is obtainable from the KCI of the San Antonio of Texas technology port.Plug into body 592 of decompression allows decompression to be transported to sealing subsystem 560 and realizes in the interior section of sealing subsystem 560.In this illustrative embodiment, bend pipe port 594 extends through containment member 562 and enters in shaping dressing bolster 532.
In operation, transparent wound therapy system 510 is applied to linear wound 512.Transparent wound therapy system 510 can be applied to linear wound 512 after patient is carried out to operation process in operating room.Second side 536 towards interior of shaping dressing bolster 532 is placed with the epidermis 514 that is pasting patient, make to be shaped dressing bolster 532 on impaired subcutaneous tissue position 520 and a part for the dressing bolster 532 that makes to be shaped on linear wound 512.Dressing component 530 can be made according to size, for the general application relating in the process of being carried out by health care supplier.Dressing component 530 can be made, form and be configured to different anatomic applications according to size, and such as abdominal part, chest, arm, thigh etc., works.
If containment member 562 is not also connected, containment member 562 is placed on the first side 534 of shaping dressing bolster 532 so, makes a part extend beyond shaping dressing bolster 532 and prolongs 564 to form drape beyond the region of objective existence.Then, drape beyond the region of objective existence prolongs 564 and can between containment member 562 and patient's epidermis 514, form sealing with band stickup or use binding agent 570 downwards.Sealing only needs to be enough to allow transparent wound therapy system 510 in required area for treatment, to keep decompression.The decompression body 592 of plugging into uses reduced pressure delivery conduit 590 to be fluidly connected with Reduced pressure source 582.Then, Reduced pressure source 582 can be activated and reduced pressure delivery is arrived to shaping dressing bolster 532.
When the pressure of resting the head on 532 places when shaping dressing pad is reduced, shaping dressing bolster 532 compression cross-direction shrinkage, and form semi-rigid substrate, and a large amount of favourable power and action can occur.Decompression is still transmitted by shaping dressing bolster 532 further, so that decompression is transported to linear wound 512.At least, at the commitment of agglutination, decompression also can and enter into subcutaneous tissue position 520 by linear wound 512 and be implemented.Like this, decompression can help the damaged of closure such as subcutaneous space 522, and conventionally provides stability to region.The decompression that is transported to shaping dressing bolster 532 also produces the compression stress 524 that stability and treatment can be provided again.Compression stress 524 is not just at epidermis 514 top places.Compression stress 524 also can be experienced at the level place at subcutaneous tissue position 520 to downward-extension is dark.Compression stress can help closed damaged and stability is provided.
In operating room, apply transparent wound therapy system 510 and allow transparent wound therapy system 510 to remain on patient with it until heal fully, this may be desirable.In this, may be preferably, form containment member 562, shaping dressing bolster 532 and any other layer to allow health care supplier to obtain the visual cues about the healing at linear wound 512 and impaired subcutaneous tissue position 520 by transparent material, and there is no need to remove dressing component 530.
According to an illustrative embodiment, for making the transparent dressing assembly for treating patient's linear wound with it comprise together with depressurized system: for providing the closed dressing bolster of closing force when under decompression and for covering closed dressing bolster and the containment member of sealing being provided on closed dressing bolster.Closed dressing bolster and containment member form from the transparent material of some aware colors of transparent dressing assembly outside by being enough to permission.Closed dressing bolster can comprise roof and diapire.Roof and diapire are connected to separate relation.Diapire comprises core, the first sidepiece and the second sidepiece.The first enclosed member is formed on the first sidepiece, and the second enclosed member is formed on the second sidepiece.Under being placed in decompression time, the first enclosed member and the second enclosed member move towards each other.
According to an illustrative embodiment, the system of utilizing wound with it of decompression treatment patient and allow visually to observe wound during treating comprises the dressing bolster in the part of the epidermis for be placed on patient on wound.Dressing bolster is formed by transparent material.System also comprises sealing subsystem for sealing is provided on the epidermis closed bolster and patient and for the decompression subsystem to sealing subsystem by reduced pressure delivery.Sealing subsystem and decompression subsystem are exercisable so that reduced pressure delivery is arrived to dressing bolster.Dressing bolster, sealing subsystem and decompression subsystem are exercisable to produce directing force and reduced pressure delivery is arrived to wound.Sealing subsystem comprises transparent containment member.Dressing bolster and sealing subsystem are exercisable to allow light to pass through, so that the depth of the color of wound can be perceived from a position of system outside.Dressing pad pillow has first surface, towards interior second surface, and comprise the angled end of a part that forms dressing bolster.Dressing bolster is formed by the medical science bolster material that has density and be greater than 20kg/m3.The feature that dressing pad pillow distributes directing force while having under reducing pressure equably.
Although the present invention and advantage thereof are disclosed under the background of, unrestriced embodiment illustrative at some, but should be understood that, can make various variations, replacement, displacement and change and do not have depart from as the scope of the present invention that claim limited by appended.To will be appreciated that, any feature of describing together with any one embodiment also can be applied to any other embodiment.

Claims (23)

1. a transparent dressing assembly, it makes for treating patient's linear wound with it together with depressurized system, and described transparent dressing assembly comprises:
Closed dressing bolster, it provides the closing force in the plane at epidermis under reducing pressure time, and described closed dressing bolster comprises:
Roof,
Diapire, described roof is connected to separate relation with described diapire, and described diapire has core, the first sidepiece and the second sidepiece,
The first enclosed member, it is formed on described the first sidepiece, and
The second enclosed member, it is formed on described the second sidepiece;
Containment member, it is for covering described closed dressing bolster and provide sealing on described closed dressing bolster; And
Wherein, described closed dressing bolster and described containment member form from the transparent material of some aware colors of described transparent dressing assembly outside by being enough to permission.
2. transparent dressing assembly as claimed in claim 1, wherein, described the first enclosed member and described the second enclosed member are exercisable to move towards each other under decompression.
3. transparent dressing assembly as claimed in claim 1, wherein, described containment member comprises the containment member of being made up of transparent elastic material.
4. transparent dressing assembly as claimed in claim 1, wherein, described closed dressing bolster comprises transparent silicon resin.
5. transparent dressing assembly as claimed in claim 1, wherein, described containment member comprises transparent elastic material, and described closed dressing bolster is formed by transparent silicon resin.
6. be used for the treatment of a system for patient's wound with it, it utilizes decompression treatment patient wound and permission with it during treating, visually to observe wound, and described system comprises:
Dressing bolster, it for being placed on a part for patient's epidermis on described wound, and described dressing bolster is formed by transparent material;
Sealing subsystem, it is for providing sealing on the epidermis described dressing bolster and patient;
Decompression subsystem, it is for arriving described sealing subsystem by reduced pressure delivery;
Wherein, described sealing subsystem and described decompression subsystem are exercisable so that reduced pressure delivery is arrived to described dressing bolster;
Wherein, described dressing bolster, described sealing subsystem and described decompression subsystem be exercisable be created in power in the plane of epidermis and by reduced pressure delivery to described wound;
Wherein, described sealing subsystem comprises transparent sealing member; And
Wherein, described dressing bolster and described sealing subsystem are exercisable to allow light to pass through, so that the depth of the color of described wound can be perceived from a position of described system outside.
7. system as claimed in claim 6, wherein, described dressing bolster comprises:
Roof,
Diapire, described roof is connected to separate relation with described diapire, and described diapire has core, the first sidepiece and the second sidepiece,
The first enclosed member, it is formed on described the first sidepiece, and
The second enclosed member, it is formed on described the second sidepiece.
8. system as claimed in claim 6, wherein, described dressing pad pillow has first surface, towards interior second surface, and comprises:
Angled end, it forms a part for described dressing bolster;
Wherein, described dressing bolster is formed by medical science bolster material;
Wherein, described medical science bolster material has the 20kg/m of being greater than 3density; And
Wherein, when described dressing pad pillow has under reducing pressure, be uniformly distributed the feature of directing force.
9. system as claimed in claim 6, wherein, described sealing subsystem comprises the containment member by transparent elastomeric material is made at least partly.
10. system as claimed in claim 6, wherein, described dressing bolster is formed by silicones, and described sealing subsystem comprises the containment member of being made up of transparent elastic material.
11. systems as claimed in claim 6, also comprise: silicones window widget, described silicones window widget is disposed in the perception that can operate to improve the color to described wound on described dressing bolster and under decompression.
Manufacture the method for transparent dressing assembly, comprise the following steps for 12. 1 kinds:
Form bolster, described bolster provides the power in the plane at epidermis to Wound healing and bone regeneration region while being used under reducing pressure;
Containment member is provided, and to cover described bolster, described containment member is formed by transparent material, and allows the sealing on described bolster and patient's epidermis in the time of application; And
Wherein, the step of formation bolster comprises: form bolster by transparent material.
13. methods as claimed in claim 12, wherein, the step that forms bolster comprises: form bolster by transparent silicon resin.
14. methods as claimed in claim 12, wherein, the step that forms bolster comprises: squeeze out bolster.
15. methods as claimed in claim 12, wherein, the step that forms bolster comprises: molded bolster.
16. 1 kinds with the dressing component using together with patient's Reduced pressure treatment system with it, described dressing component comprises:
Bolster, it is for being placed on patient's wound with it and for the closing force in the plane of epidermis is provided;
Containment member, it is for covering described bolster and provide sealing on described bolster and patient's epidermis; And
Visual checkout facility, it is for visually detecting the color of patient's wound with it from a position of described dressing component outside.
17. dressing components as claimed in claim 16, wherein, described visual checkout facility comprises the transparent material that the described containment member of formation uses, and described bolster comprises transparent material.
18. dressing components as claimed in claim 16, wherein, described visual checkout facility comprises the bolster material with structural detail, the width that described structural detail interval separates is enough to allow by described bolster material and transparent sealing member aware colors.
19. dressing components as claimed in claim 16, wherein, described visual checkout facility comprises the bolster material with structural detail, the width that described structural detail interval separates is enough to allow by described bolster material and transparent sealing member aware colors; And wherein, described bolster material comprises transparent foaming.
20. dressing components as claimed in claim 16, wherein, described visual checkout facility comprises the bolster material with structural detail, the width that described structural detail interval separates is enough to allow by described bolster material and transparent sealing member aware colors; And wherein, described bolster material comprises bolster net.
21. dressing components as claimed in claim 16, wherein, described visual checkout facility comprises bolster material, and comprise the bolster window being arranged on described bolster material, so that in the time that described bolster window compresses described bolster material by reducing pressure, can be by described bolster material and described bolster windows detecting color.
22. dressing components as claimed in claim 16, wherein, described containment member comprises transparent elastic material.
23. dressing components as claimed in claim 16, wherein, described bolster comprises silicones, and described containment member comprises transparent elastic material.
CN200980119621.9A 2008-05-30 2009-05-29 See-through, reduced-pressure dressings and systems Active CN102089017B (en)

Applications Claiming Priority (23)

Application Number Priority Date Filing Date Title
US5780808P 2008-05-30 2008-05-30
US5780508P 2008-05-30 2008-05-30
US5781008P 2008-05-30 2008-05-30
US5779708P 2008-05-30 2008-05-30
US5780308P 2008-05-30 2008-05-30
US5780008P 2008-05-30 2008-05-30
US5780208P 2008-05-30 2008-05-30
US5779808P 2008-05-30 2008-05-30
US5780708P 2008-05-30 2008-05-30
US61/057,798 2008-05-30
US61/057,810 2008-05-30
US61/057,802 2008-05-30
US61/057,805 2008-05-30
US61/057,800 2008-05-30
US61/057,797 2008-05-30
US61/057,803 2008-05-30
US61/057,807 2008-05-30
US61/057,808 2008-05-30
US12136208P 2008-12-10 2008-12-10
US61/121,362 2008-12-10
US14406709P 2009-01-12 2009-01-12
US61/144,067 2009-01-12
PCT/US2009/045751 WO2009158129A1 (en) 2008-05-30 2009-05-29 See-through, reduced-pressure dressings and systems

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CN102089017A CN102089017A (en) 2011-06-08
CN102089017B true CN102089017B (en) 2014-08-20

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CN201310466823.9A Active CN103536975B (en) 2008-05-30 2009-05-29 At the reduced-pressure, compression systems and device used in part that bend the body
CN2009801196134A Active CN102046119B (en) 2008-05-30 2009-05-29 Super-absorbent, reduced-pressure wound dressing and systems
CN200980119621.9A Active CN102089017B (en) 2008-05-30 2009-05-29 See-through, reduced-pressure dressings and systems
CN200980118946.5A Active CN102046217B (en) 2008-05-30 2009-05-29 Reduced-pressure dressing assemblies for use in applying a closing force
CN200980117665.8A Active CN102026675B (en) 2008-05-30 2009-05-29 Reduced-pressure surgical wound treatment systems and methods
CN2009801188782A Active CN102036698B (en) 2008-05-30 2009-05-29 Reduced-pressure, compression systems and apparatuses for use on a curved body part
CN201310341893.1A Active CN103417332B (en) 2008-05-30 2009-05-29 Super-absorbent, reduced-pressure wound dressing and system
CN200980118887.1A Active CN102036700B (en) 2008-05-30 2009-05-29 Dressing assemblies for wound treatment using reduced pressure
CN201310308383.4A Active CN103405813B (en) 2008-05-30 2009-05-29 Reduced-pressure, linear-wound treatment systems
CN201810154175.6A Pending CN108143539A (en) 2008-05-30 2009-05-29 For the dressing component that the wound of decompression is used to handle
CN2009801188867A Active CN102036699B (en) 2008-05-30 2009-05-29 Reduced-pressure, linear-wound treatment systems
CN202011083392.4A Pending CN112206094A (en) 2008-05-30 2009-05-29 Decompression compression system and device for use on a joint
CN200980119147XA Active CN102046118B (en) 2008-05-30 2009-05-29 Wound dressing with inflatable bladders and manufacture method thereof
CN201310466785.7A Active CN103585682B (en) 2008-05-30 2009-05-29 For the reduced-pressure, compression systems that uses on breast tissue and device
CN200980118938.0A Expired - Fee Related CN102046216B (en) 2008-05-30 2009-05-29 Anisotropic drapes and systems
CN201510603255.1A Active CN105266960B (en) 2008-05-30 2009-05-29 Decompression compression system and device for use on a joint
CN200980119612XA Active CN102046219B (en) 2008-05-30 2009-05-29 Reduced-pressure, compression systems and apparatuses for use on joints
CN201310308384.9A Active CN103480048B (en) 2008-05-30 2009-05-29 For the reduced-pressure, compression systems used on joint and device
CN2009801185214A Active CN102036697B (en) 2008-05-30 2009-05-29 Reduced-pressure, compression systems and apparatuses for use on breast tissue
CN201410315871.2A Active CN104117101B (en) 2008-05-30 2009-05-29 The reduced-pressure dressing assemblies used in application closing force
CN201410315361.5A Active CN104161621B (en) 2008-05-30 2009-05-29 For the dressing component handled using the wound of decompression

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CN200980118946.5A Active CN102046217B (en) 2008-05-30 2009-05-29 Reduced-pressure dressing assemblies for use in applying a closing force
CN200980117665.8A Active CN102026675B (en) 2008-05-30 2009-05-29 Reduced-pressure surgical wound treatment systems and methods
CN2009801188782A Active CN102036698B (en) 2008-05-30 2009-05-29 Reduced-pressure, compression systems and apparatuses for use on a curved body part
CN201310341893.1A Active CN103417332B (en) 2008-05-30 2009-05-29 Super-absorbent, reduced-pressure wound dressing and system
CN200980118887.1A Active CN102036700B (en) 2008-05-30 2009-05-29 Dressing assemblies for wound treatment using reduced pressure
CN201310308383.4A Active CN103405813B (en) 2008-05-30 2009-05-29 Reduced-pressure, linear-wound treatment systems
CN201810154175.6A Pending CN108143539A (en) 2008-05-30 2009-05-29 For the dressing component that the wound of decompression is used to handle
CN2009801188867A Active CN102036699B (en) 2008-05-30 2009-05-29 Reduced-pressure, linear-wound treatment systems
CN202011083392.4A Pending CN112206094A (en) 2008-05-30 2009-05-29 Decompression compression system and device for use on a joint
CN200980119147XA Active CN102046118B (en) 2008-05-30 2009-05-29 Wound dressing with inflatable bladders and manufacture method thereof
CN201310466785.7A Active CN103585682B (en) 2008-05-30 2009-05-29 For the reduced-pressure, compression systems that uses on breast tissue and device
CN200980118938.0A Expired - Fee Related CN102046216B (en) 2008-05-30 2009-05-29 Anisotropic drapes and systems
CN201510603255.1A Active CN105266960B (en) 2008-05-30 2009-05-29 Decompression compression system and device for use on a joint
CN200980119612XA Active CN102046219B (en) 2008-05-30 2009-05-29 Reduced-pressure, compression systems and apparatuses for use on joints
CN201310308384.9A Active CN103480048B (en) 2008-05-30 2009-05-29 For the reduced-pressure, compression systems used on joint and device
CN2009801185214A Active CN102036697B (en) 2008-05-30 2009-05-29 Reduced-pressure, compression systems and apparatuses for use on breast tissue
CN201410315871.2A Active CN104117101B (en) 2008-05-30 2009-05-29 The reduced-pressure dressing assemblies used in application closing force
CN201410315361.5A Active CN104161621B (en) 2008-05-30 2009-05-29 For the dressing component handled using the wound of decompression

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